US protection

US protection ending in 2027: Nutrition and metabolism

As of the edition of 20 October 2026, 32 drugs have US protection that ends in 2027 in nutrition and metabolism; 17 of them have at least one company on route B because of it.

Sources: FDA Orange Book and Purple Book, other approval registers.

32 drugs

DrugUS protectionStatusHolderTargetRoute B rows
Anakinra Ends 2027 (orphan exclusivity)Marketed Swedish Orphan Biovitrum IL1R1 0
Artesunate Ends 2027 (exclusivity)Marketed Amivas 0
Asfotase alfa Ends 2027 (computed from the first US licence)Marketed AstraZeneca 0
Bazedoxifene Ends 2027 (patent)Marketed Pfizer ESR1, ESR2 0
Bevacizumab Ends 2027 (orphan exclusivity)Marketed Roche VEGFA 2
Canakinumab Ends 2027 (orphan exclusivity)Marketed Novartis IL1B 1
Desvenlafaxine Ends 2027 (patent)Marketed Pfizer SLC6A4 0
Elotuzumab Ends 2027 (computed from the first US licence)Marketed Bristol Myers Squibb SLAMF7 0
Ferric carboxymaltose Ends 2027 (patent)Marketed American Regent 0
Florbetapir Ends 2027 (patent)Marketed Avid Radiopharmaceuticals 0
Insulin degludec Ends 2027 (computed from the first US licence)Marketed Novo Nordisk INSR 0
Ipilimumab Ends 2027 (orphan exclusivity)Marketed Bristol Myers Squibb CTLA4 1
Lenalidomide Ends 2027 (patent)Marketed Bristol Myers Squibb CRBN 0
Lonafarnib Ends 2027 (exclusivity)Marketed Sentynl Therapeutics FNTA, FNTB 3
Mesalamine Ends 2027 (patent)Marketed Viatris PPARG, PTGS1, PTGS2 12
Mipomersen Ends 2027 (patent)Marketed Kastle Therapeutics APOB 1
Olive oil Ends 2027 (exclusivity)Marketed Baxter Healthcare 0
Pantoprazole Ends 2027 (exclusivity)Marketed Pfizer ATP4A 1
Parathyroid hormone Ends 2027 (computed from the first US licence)Marketed Takeda PTH1R 1
Rasagiline Ends 2027 (patent)Marketed Teva MAOB 2
Regadenoson anhydrous Ends 2027 (patent)Marketed Astellas ADORA2A 2
Rifaximin Ends 2027 (patent)Marketed Bausch Health 0
Rilpivirine Ends 2027 (exclusivity)Marketed Johnson & Johnson 0
Sacubitril Ends 2027 (patent)Marketed Novartis MME 1
Saxagliptin anhydrous Ends 2027 (exclusivity)Marketed AstraZeneca DPP4 2
Sebelipase alfa Ends 2027 (computed from the first US licence)Marketed AstraZeneca 0
Secukinumab Ends 2027 (computed from the first US licence)Marketed Novartis IL17A 1
Sorafenib Ends 2027 (patent)Marketed Bayer BRAF, FLT1, FLT3 1
Tapentadol Ends 2027 (exclusivity)Marketed Collegium Pharmaceutical OPRM1, SLC6A2 4
Triheptanoin Ends 2027 (exclusivity)Marketed Ultragenyx Pharmaceutical 0
Vorapaxar Ends 2027 (patent)Marketed Merck & Co. F2R 1
Vorinostat Ends 2027 (patent)Marketed Merck & Co. HDAC1, HDAC2, HDAC3 4

Listed by name. A route B row is one company at one target; for a drug with one target that is the number of companies. US protection is the US only, and it is not the date generics or biosimilars can enter.

Which companies are on route B in 2027 in nutrition and metabolism

In the product

17 of these 32 drugs have at least one company on route B. Which companies, and their scores, are in the product.

Get this list with the companies, scores and sources as a fileRequest access. Nothing is shown until you do.

US protection movers, once a month

The drugs that entered or left the two-year window in the latest edition. An email, not an account: it gives no access to the product.